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高雄醫師會誌97期-醫學專欄~黃琮懿-泌尿道結石處理新概念
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高雄醫師會誌97期-醫學專欄~黃琮懿-泌尿道結石處理新概念
1.
... 10-20% ( ) ( ...) : Percutaneous nephrolithotomy
(PNL) Rigid and flexible ureteroscopy (URS) Extracorporeal Shock Wave Lithotripsy (ESWL) <0.4cm 90% 2 ... (PNL) (pyelolithotomy) 0.5cm 1cm "endourology"
2.
1. (>2 cm
) ( UPJ ) 2. Cystine stone 3. (horseshoe kidneys or ureteropelvic junction obstruction) 4. (calyceal diverticula) (PCN, Percutaneous Nephrostomy) (PCN) (PNL) X (puncture needle) X (guidewire) (Fascial dilator) (Nephrostomy Balloon Catheter) 24~30F (Amplatz sheath) (electrohydraulic probe) (ultrasonic lithotriptor) (lithoclast) (Forceps or basket) ( ) 0.8- 1cm
3.
(Intracorporeal Lithotripters) J 1 3 ( ) ( ) ...
4.
( Brushite(CaP) , COM ,
cystine ) ( ) X ( ) DNA ... J
5.
simultaneously supine PCNL and
URSL ECIRS(Endoscopic Combined Intrarenal Surgery)
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